Endometrioma, fibroid and ovarian cyst

Case contributed by Natalie Yang
Diagnosis almost certain

Patient Data

Age: Adult
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

A well defined subserosal myometrial lesion, appearing isointense on T1W and hypointense on T2W images, is seen arising from right lateral wall of uterus, suggesting fibroid.

A well defined thin-walled cystic lesion is seen in right ovary, appearing hyperintense on T1 fat-suppressed sequence, and hypointense on T2W images ('shading sign'), suggesting endometrioma.

Left ovary shows a round lesion, hypointense on T1W and hyperintense on T2W images, suggesting simple ovarian cyst.

Annotated image

T2 annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

T1 FS annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

Case Discussion

Pelvic MRI demonstrating 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.